Christmas Mass Times: Masses in the Church & Parish Activity Center at 4pm and Mass in the Church at 8pm & 10pm on Tue Dec 24th. Mass at 8am, 10am & 12pm in the Church on Wed Dec 25th. Please join us

Registration Form

We welcome you to join our vibrant parish community at St. Raphael Parish. We stay centered in the Eucharist and are committed to living a faith of welcome, love and service to one another.

Please fill out the form as completely as possible. Feel free to contact the Parish Office at 440-871-1100 with any questions.

Family Information
Last Name
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Household Address
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Phone Number --
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Household Email Address
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Registration For:
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May We Include Your Family Information in a Parish Directory?
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Are you interested in online giving?
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Online Giving allows you to make regular offertory contributions or special one-time donations without writing checks or worrying about cash. A link to our secure site will be emailed to you.
Head of Household
Name
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Maiden Name, if Applicable
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Cell Phone Number --
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E-mail Address
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Birth Date //
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Gender
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Marital Status
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If married, were you married in a Catholic Ceremony?
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Marriage Date //
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Religion
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Sacraments Received
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Occupation
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Spouse
Name
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Maiden Name
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Cell Phone Number --
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E-mail Address
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Birth Date //
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Gender
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Marital Status
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Religion
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Sacraments Received
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Occupation
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Child #1
Please include all children, college-age and younger. Upon graduation, they are encouraged to register independently.
Name
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Birth Date //
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Gender
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Religion
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Sacraments Received
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School Attending
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Child #2
Name
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Birth Date //
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Gender
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Religion
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Sacraments Received
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School Attending
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Child #3
Name
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Birth Date //
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Gender
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Religion
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Sacraments Received
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School Attending
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Child #4
Name
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Birth Date //
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Gender
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Religion
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Sacraments Received
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School Attending
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Additional Members
Please list any additional members of your household.
Text (Multiple Lines)
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Please list name, date of birth, gender, and sacraments received.
Questions/Comments
Text (Multiple Lines)
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Spam Capture
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